Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| (A)
ADULT INPATIENT MEDICAL SERVICES |
452498998 | 9 | No | 0 | 0 | |
| (B)
AGAPE COMMUNITY CENTER OF MILWAUKEE INC |
391641846 | 7 | No | 0 | 0 | |
| (C)
Alexian Brothers Ambulatory Group |
364336931 | 3 | No | 0 | 0 | |
| (D)
Alexian Brothers Behavioral Health Hospital |
364251848 | 3 | No | 0 | 0 | |
| (E)
Alexian Brothers Bonaventure House |
363527899 | 9 | No | 0 | 0 | |
| (F)
Alexian Brothers Center for Mental Health |
363045007 | 9 | No | 0 | 0 | |
| (G)
Alexian Brothers Community Services |
364344423 | 9 | No | 0 | 0 | |
| (H)
Alexian Brothers Lansdowne Village |
431470362 | 9 | No | 0 | 0 | |
| (I)
Alexian Brothers Medical Care Group NFP |
471930457 | 3 | No | 0 | 0 | |
| (J)
Alexian Brothers Medical Center |
362596381 | 3 | No | 0 | 0 | |
| (K)
ALEXIAN BROTHERS MEDICAL GROUP SPECIALITY CARE |
811110738 | 3 | No | 0 | 0 | |
| (L)
Alexian Brothers Senior Neighbors |
620646376 | 7 | No | 0 | 0 | |
| (M)
Alexian Brothers Services Inc |
431295333 | 9 | No | 0 | 0 | |
| (N)
Alexian Brothers Sherbrooke Village |
431592502 | 9 | No | 0 | 0 | |
| (O)
Alexian Brothers Specialty Group |
800710751 | 3 | No | 0 | 0 | |
| (P)
Alexian Village of Milwaukee Inc |
391351584 | 9 | No | 0 | 0 | |
| (Q)
Alexian Village of Tennessee |
621136742 | 9 | No | 0 | 0 | |
| (R)
AMERICAN SPORTS MEDICINE INSTITUTE |
630952490 | 7 | No | 0 | 0 | |
| (S)
ASCENSION MICHIGAN |
382631907 | 9 | No | 0 | 0 | |
| (T)
AUSTIN CHILDREN'S CHEST ASSOCIATES II |
260163261 | 9 | No | 0 | 0 | |
| (U)
BARTLETT HOMES INC |
731301822 | 7 | No | 0 | 0 | |
| (V)
BETHEL MANOR INC |
731216617 | 7 | No | 0 | 0 | |
| (W)
BORGESS AMBULATORY CARE CORPORATION |
382468823 | 3 | No | 0 | 0 | |
| (X)
BORGESS MEDICAL CENTER |
381360526 | 3 | No | 0 | 0 | |
| (Y)
Borgess Nursing Home Inc |
382555589 | 3 | No | 0 | 0 | |
| (Z)
BRIGHTON CENTER FOR RECOVERY |
381576680 | 3 | No | 0 | 0 | |
| (AA)
CALUMET MEDICAL CENTER INC |
390905385 | 3 | No | 0 | 0 | |
| (AB)
Carondelet Long-Term Care Facilities Inc |
742505427 | 9 | No | 0 | 0 | |
| (AC)
CATALPA HEALTH INC |
454681563 | 3 | No | 0 | 0 | |
| (AD)
CHILDREN'S BONE JOINT & SPINE CENTER |
452499113 | 9 | No | 0 | 0 | |
| (AE)
COLUMBIA ST MARY'S FOUNDATION INC |
391494981 | 7 | No | 0 | 0 | |
| (AF)
COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC |
390806315 | 3 | No | 0 | 0 | |
| (AG)
COLUMBIA ST MARY'S HOSPITAL OZAUKEE INC |
390807063 | 3 | No | 0 | 0 | |
| (AH)
Cornerstone Assisted Living Inc |
481241079 | 9 | No | 0 | 0 | |
| (AI)
CRITTENTON CANCER CENTER |
383239057 | 9 | No | 0 | 0 | |
| (AJ)
CRITTENTON HOSPITAL MEDICAL CENTER |
381359247 | 3 | No | 0 | 0 | |
| (AK)
DOOR COUNTY MEMORIAL HOSPITAL |
390806324 | 3 | No | 0 | 0 | |
| (AL)
DR KATE NEWCOMB CONVALESCENT CENTER INC |
391357365 | 9 | No | 0 | 0 | |
| (AM)
EAGLE RIVER MEMORIAL HOSPITAL INCORPORATED |
390985690 | 3 | No | 0 | 0 | |
| (AN)
EASTWOOD COMMUNITY CLINICS |
381958763 | 9 | No | 0 | 0 | |
| (AO)
FIELD NEUROSCIENCES INSTITUTE |
382790703 | 9 | No | 0 | 0 | |
| (AP)
FLAMBEAU HOSPITAL |
390973724 | 3 | No | 0 | 0 | |
| (AQ)
GENESYS CONVALESCENT CENTER |
382317364 | 3 | No | 0 | 0 | |
| (AR)
GENESYS REGIONAL MEDICAL CENTER |
382377821 | 3 | No | 0 | 0 | |
| (AS)
GERARD HOUSE INC |
481049532 | 9 | No | 0 | 0 | |
| (AT)
GOOD SAMARITAN HEALTH CENTER OF MERRILL WISCONSIN INC |
390808503 | 3 | No | 0 | 0 | |
| (AU)
HAVEN OF OUR LADY OF PEACE INC |
593620346 | 9 | No | 0 | 0 | |
| (AV)
HORIZON HOME CARE & HOSPICE INC |
391171298 | 9 | No | 0 | 0 | |
| (AW)
HOWARD YOUNG FOUNDATION INC |
391521169 | 7 | No | 0 | 0 | |
| (AX)
INSTITUTE OF RECONSTRUCTIVE PLASTIC SURGERY OF CENTRAL TEXAS |
262908163 | 9 | No | 0 | 0 | |
| (AY)
JANE PHILLIPS HEALTH CARE FOUNDATION |
731250611 | 3 | No | 0 | 0 | |
| (AZ)
JANE PHILLIPS MEMORIAL MEDICAL CENTER |
730606129 | 3 | No | 0 | 0 | |
| (BA)
JANE PHILLIPS NOWATA HOSPITAL INC |
731440267 | 3 | No | 0 | 0 | |
| (BB)
LEE MEMORIAL HOSPITAL CORPORATION |
381490190 | 3 | No | 0 | 0 | |
| (BC)
MEDICAL RESOURCES GROUP |
383494637 | 9 | No | 0 | 0 | |
| (BD)
MERCY HEALTH FOUNDATION INC |
237140261 | 9 | No | 0 | 0 | |
| (BE)
MERCY MEDICAL CENTER OF OSHKOSH INC |
390806268 | 3 | No | 0 | 0 | |
| (BF)
MINISTRY HOMECARE INC |
391936201 | 9 | No | 0 | 0 | |
| (BG)
MINISTRY WEIGHT MANAGEMENT INC |
391829015 | 3 | No | 0 | 0 | |
| (BH)
Nazareth Hall |
742387843 | 9 | No | 0 | 0 | |
| (BI)
NETWORK HEALTH SYSTEM INC |
391127163 | 3 | No | 0 | 0 | |
| (BJ)
OUR LADY OF LOURDES HOSPITAL AT PASCO |
910349750 | 3 | No | 0 | 0 | |
| (BK)
OUR LADY OF LOURDES MEMORIAL HOSPITAL INC |
150532221 | 3 | No | 0 | 0 | |
| (BL)
Our Lady of Peace Inc |
161608735 | 3 | No | 0 | 0 | |
| (BM)
OUR LADY OF VICTORY HOSPITAL |
390807065 | 3 | No | 0 | 0 | |
| (BN)
OWASSO MEDICAL FACILITY INC |
203700131 | 3 | No | 0 | 0 | |
| (BO)
PEDIATRIC CRITICAL CARE ASSOCIATES |
421670843 | 9 | No | 0 | 0 | |
| (BP)
PEDIATRIC SURGICAL SUBSPECIALISTS |
208957311 | 9 | No | 0 | 0 | |
| (BQ)
PRIMARY PHYSICIAN NETWORK LLC |
208775914 | 9 | No | 0 | 0 | |
| (BR)
PROMED HEALTHCARE |
383193801 | 9 | No | 0 | 0 | |
| (BS)
PROVIDENCE FOUNDATION |
630915493 | 7 | No | 0 | 0 | |
| (BT)
PROVIDENCE HEALTH ALLIANCE |
742696970 | 3 | No | 0 | 0 | |
| (BU)
PROVIDENCE HEALTH SERVICES OF WACO |
741109636 | 3 | No | 0 | 0 | |
| (BV)
PROVIDENCE HOSPITAL |
630288861 | 3 | No | 0 | 0 | |
| (BW)
PROVIDENCE HOSPITAL |
530196636 | 3 | No | 0 | 0 | |
| (BX)
Providence Park Inc |
611759304 | 3 | No | 0 | 0 | |
| (BY)
PROVIDENCE-PROVIDENCE PARK HOSPITAL |
381358212 | 3 | No | 0 | 0 | |
| (BZ)
REHABILITATION HOSPITAL OF INDIANA INC |
351786005 | 3 | No | 0 | 0 | |
| (CA)
REVERENCE HOME HEALTH & HOSPICE |
383408684 | 7 | No | 0 | 0 | |
| (CB)
SACRED HEART FOUNDATION INC |
592436597 | 7 | No | 0 | 0 | |
| (CC)
SACRED HEART HEALTH SYSTEM INC |
590634434 | 3 | No | 0 | 0 | |
| (CD)
SACRED HEART REHABILITATION INSTITUTE |
390902199 | 3 | No | 0 | 0 | |
| (CE)
SACRED HEART-STMARY'S HOSPITALS INC |
391390638 | 3 | No | 0 | 0 | |
| (CF)
SAINT CLARE'S HOSPITAL OF WESTON INC |
721531917 | 3 | No | 0 | 0 | |
| (CG)
SAINT ELIZABETH'S HOSPITAL OF WABASHA INC |
410693877 | 3 | No | 0 | 0 | |
| (CH)
SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC |
390847631 | 3 | No | 0 | 0 | |
| (CI)
SAINT MICHAEL'S HOSPITAL OF STEVENS POINT INC |
390808443 | 3 | No | 0 | 0 | |
| (CJ)
SAINT THOMAS HEALTH FOUNDATIONS |
581663055 | 7 | No | 0 | 0 | |
| (CK)
SAINT THOMAS HICKMAN HOSPITAL |
581737573 | 3 | No | 0 | 0 | |
| (CL)
SAINT THOMAS HOME CARE |
621836937 | 9 | No | 0 | 0 | |
| (CM)
SAINT THOMAS MEDICAL PARTNERS |
621529858 | 3 | No | 0 | 0 | |
| (CN)
SAINT THOMAS MIDTOWN HOSPITAL |
621869474 | 3 | No | 0 | 0 | |
| (CO)
SAINT THOMAS NETWORK |
621284994 | 9 | No | 0 | 0 | |
| (CP)
SAINT THOMAS REGIONAL HOSPITALS |
474063046 | 3 | No | 0 | 0 | |
| (CQ)
SAINT THOMAS RUTHERFORD HOSPITAL |
620475842 | 3 | No | 0 | 0 | |
| (CR)
SAINT THOMAS WEST HOSPITAL |
620347580 | 3 | No | 0 | 0 | |
| (CS)
SALINA REGIONAL HOME MEDICAL SERVICES LLC |
431948057 | 9 | No | 0 | 0 | |
| (CT)
SETON ENT |
273220659 | 9 | No | 0 | 0 | |
| (CU)
SETON FAMILY OF HOSPITALS |
741109643 | 3 | No | 0 | 0 | |
| (CV)
SETON FAMILY OF PEDIATRIC SURGEONS |
271311790 | 9 | No | 0 | 0 | |
| (CW)
SETON FAMILY OF PHYSICIANS |
264562522 | 9 | No | 0 | 0 | |
| (CX)
SETON HEALTH CORP OF SE MICHIGAN |
382820107 | 9 | No | 0 | 0 | |
| (CY)
Seton Manor Inc |
232960726 | 9 | No | 0 | 0 | |
| (CZ)
SETON MEDICAL GROUP |
742861106 | 9 | No | 0 | 0 | |
| (DA)
SETON MEDICAL GROUP |
392064992 | 9 | No | 0 | 0 | |
| (DB)
SETONUT DELL MEDICAL SCHOOL UNIVERSITY PHYSICIANS GROUP (FKA SETONUT SOUTHW ESTERN UNIVERSITY PHYSICIANS GROUP) |
742869762 | 9 | No | 0 | 0 | |
| (DC)
SPECIALLY FOR CHILDREN-CHILDREN'S HOSPITAL SUBSPECIALISTS OF CENTRAL TEXAS |
742800601 | 9 | No | 0 | 0 | |
| (DD)
ST AGNES AUXILIARY |
520643673 | 9 | No | 0 | 0 | |
| (DE)
ST AGNES HEALTHCARE INC |
520591657 | 3 | No | 0 | 0 | |
| (DF)
St Alexius Medical Center |
364251846 | 3 | No | 0 | 0 | |
| (DG)
St Catherine's Laboure Manor |
591878316 | 3 | No | 0 | 0 | |
| (DH)
ST ELIZABETH HOSPITAL INC |
390816818 | 3 | No | 0 | 0 | |
| (DI)
ST ELIZABETH'S HOSPITAL FOUNDATION INC |
391256677 | 7 | No | 0 | 0 | |
| (DJ)
ST JOHN AUXILIARY INC |
730999759 | 9 | No | 0 | 0 | |
| (DK)
ST JOHN BROKEN ARROW INC |
383833117 | 3 | No | 0 | 0 | |
| (DL)
ST JOHN COMMUNITY HEALTH INVESTMENT CORP |
382262856 | 3 | No | 0 | 0 | |
| (DM)
ST JOHN HEALTH SYSTEM FOUNDATION INC |
731133139 | 7 | No | 0 | 0 | |
| (DN)
ST JOHN HOSPITAL & MEDICAL CENTER |
381359063 | 3 | No | 0 | 0 | |
| (DO)
ST JOHN HOSPITAL FOUNDATION |
202961579 | 7 | No | 0 | 0 | |
| (DP)
ST JOHN MACOMB-OAKLAND HOSPITAL |
383322109 | 3 | No | 0 | 0 | |
| (DQ)
ST JOHN MEDICAL CENTER INC |
730579286 | 3 | No | 0 | 0 | |
| (DR)
ST JOHN PROVIDENCE PHYSICIANS CMG |
382601348 | 9 | No | 0 | 0 | |
| (DS)
ST JOHN RIVER DISTRICT HOSPITAL |
383160564 | 3 | No | 0 | 0 | |
| (DT)
ST JOHN SAPULPA INC |
730662663 | 3 | No | 0 | 0 | |
| (DU)
ST JOHN VILLAS INC |
731077367 | 9 | No | 0 | 0 | |
| (DV)
ST JOSEPH HEALTH SYSTEM |
381443395 | 3 | No | 0 | 0 | |
| (DW)
ST JOSEPH HOSPITAL & HEALTH CENTER INC |
350992717 | 3 | No | 0 | 0 | |
| (DX)
ST JOSEPH REGIONAL MEDICAL CENTER |
820204264 | 3 | No | 0 | 0 | |
| (DY)
St Joseph's Ministries Inc |
521835288 | 9 | No | 0 | 0 | |
| (DZ)
ST LUKE'S-ST VINCENT'S HEALTHCARE INC |
260479484 | 3 | No | 0 | 0 | |
| (EA)
ST MARY'S HEALTH INC |
350869065 | 3 | No | 0 | 0 | |
| (EB)
ST MARY'S HEALTHCARE |
141347719 | 3 | No | 0 | 0 | |
| (EC)
ST MARY'S MEDICAL GROUP LLC |
261356310 | 9 | No | 0 | 0 | |
| (ED)
ST MARY'S OF MICHIGAN MEDICAL CENTER |
380997730 | 3 | No | 0 | 0 | |
| (EE)
ST MARY'S WARRICK HOSPITAL INC |
351343019 | 3 | No | 0 | 0 | |
| (EF)
ST TERESA OF AVILA VILLA INC |
204791422 | 7 | No | 0 | 0 | |
| (EG)
ST VINCENT ANDERSON REGIONAL HOSPITAL INC |
460877261 | 3 | No | 0 | 0 | |
| (EH)
ST VINCENT CARMEL HOSPITAL INC |
743107055 | 3 | No | 0 | 0 | |
| (EI)
ST VINCENT CLAY HOSPITAL INC |
352112529 | 3 | No | 0 | 0 | |
| (EJ)
ST VINCENT DUNN HOSPITAL INC |
272192831 | 3 | No | 0 | 0 | |
| (EK)
ST VINCENT FISHERS HOSPITAL INC |
454243702 | 3 | No | 0 | 0 | |
| (EL)
ST VINCENT FRANKFORT HOSPITAL INC |
352099320 | 3 | No | 0 | 0 | |
| (EM)
ST VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE INC |
461227327 | 9 | No | 0 | 0 | |
| (EN)
ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC |
350869066 | 3 | No | 0 | 0 | |
| (EO)
ST VINCENT JENNINGS HOSPITAL INC |
351841606 | 3 | No | 0 | 0 | |
| (EP)
ST VINCENT MADISON COUNTY HEALTH SYSTEM INC |
350876389 | 3 | No | 0 | 0 | |
| (EQ)
ST VINCENT MEDICAL GROUP INC |
272039417 | 9 | No | 0 | 0 | |
| (ER)
ST VINCENT RANDOLPH HOSPITAL INC |
352103153 | 3 | No | 0 | 0 | |
| (ES)
ST VINCENT RAS INC |
471289091 | 9 | No | 0 | 0 | |
| (ET)
ST VINCENT SALEM HOSPITAL INC |
270847538 | 3 | No | 0 | 0 | |
| (EU)
ST VINCENT SETON SPECIALTY HOSPITAL INC |
351712001 | 3 | No | 0 | 0 | |
| (EV)
ST VINCENT WILLIAMSPORT HOSPITAL INC |
350784551 | 3 | No | 0 | 0 | |
| (EW)
ST VINCENT'S AMBULATORY CARE INC |
592292041 | 9 | No | 0 | 0 | |
| (EX)
ST VINCENT'S BIRMINGHAM |
630288864 | 3 | No | 0 | 0 | |
| (EY)
ST VINCENT'S BLOUNT |
630909073 | 3 | No | 0 | 0 | |
| (EZ)
ST VINCENT'S EAST |
630578923 | 3 | No | 0 | 0 | |
| (FA)
ST VINCENT'S FOUNDATION OF ALABAMA INC |
630868066 | 7 | No | 0 | 0 | |
| (FB)
ST VINCENT'S FOUNDATION INC |
592219923 | 7 | No | 0 | 0 | |
| (FC)
ST VINCENT'S MEDICAL CENTER |
060646886 | 3 | No | 0 | 0 | |
| (FD)
ST VINCENT'S MEDICAL CENTER CLAY COUNTY INC |
461523194 | 3 | No | 0 | 0 | |
| (FE)
ST VINCENT'S MEDICAL CENTER FOUNDATION |
222558132 | 7 | No | 0 | 0 | |
| (FF)
ST VINCENT'S MEDICAL CENTER INC |
590624449 | 3 | No | 0 | 0 | |
| (FG)
ST VINCENT'S SPECIAL NEEDS CENTER INC |
060702617 | 9 | No | 0 | 0 | |
| (FH)
STANDISH COMMUNITY HOSPITAL |
381671120 | 3 | No | 0 | 0 | |
| (FI)
THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE - AMERICAN PROVINCE |
362976619 | 1 | No | 0 | 0 | |
| (FJ)
THE CONGREGATION OF ST JOSEPH |
830481134 | 1 | No | 0 | 0 | |
| (FK)
THE CONGREGATION OF THE SISTERS OF ST JOSEPH OF CARONDELET |
431296364 | 1 | No | 0 | 0 | |
| (FL)
THE DAUGHTERS OF CHARITY OF ST VINCENT DE PAUL IN THE UNITED STATES ST LOUI SE PROVINCE |
430653298 | 1 | No | 0 | 0 | |
| (FM)
THE HOWARD YOUNG MEDICAL CENTER INC |
390873606 | 3 | No | 0 | 0 | |
| (FN)
THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST FRANCIS OF ASS ISI - USCARIBBEAN PROVINCE |
731419335 | 1 | No | 0 | 0 | |
| (FO)
TRI-COUNTY CLINICAL |
264562712 | 9 | No | 0 | 0 | |
| (FP)
VIA CHRISTI HEALTH PARTNERS INC |
480958974 | 9 | No | 0 | 0 | |
| (FQ)
Via Christi Healthcare Outreach Program for Elders Inc |
481236589 | 9 | No | 0 | 0 | |
| (FR)
VIA CHRISTI HOSPITAL MANHATTAN INC |
481186704 | 3 | No | 0 | 0 | |
| (FS)
VIA CHRISTI HOSPITAL PITTSBURG INC |
480543778 | 3 | No | 0 | 0 | |
| (FT)
VIA CHRISTI HOSPITAL WICHITA ST TERESA INC |
271965272 | 3 | No | 0 | 0 | |
| (FU)
VIA CHRISTI HOSPITALS WICHITA INC |
481172106 | 3 | No | 0 | 0 | |
| (FV)
VIA CHRISTI REHABILITATION HOSPITAL INC |
481158274 | 3 | No | 0 | 0 | |
| (FW)
Via Christi Village Georgetown Inc |
481129325 | 9 | No | 0 | 0 | |
| (FX)
Via Christi Village Hays Inc |
202828680 | 9 | No | 0 | 0 | |
| (FY)
Via Christi Village Manhattan Inc |
481078862 | 9 | No | 0 | 0 | |
| (FZ)
Via Christi Village McLean Inc |
481247723 | 9 | No | 0 | 0 | |
| (GA)
Via Christi Village Pittsburg Inc |
743070971 | 9 | No | 0 | 0 | |
| (GB)
Via Christi Village Ponca City Inc |
731153337 | 9 | No | 0 | 0 | |
| (GC)
VISITING NURSES HOME CARE DBA BORGESS VNA HOME CARE |
382717691 | 9 | No | 0 | 0 | |
| (GD)
WAMEGO HOSPITAL ASSOCIATION INC |
721526400 | 3 | No | 0 | 0 | |
| (GE)
Wheaton Franciscan Healthcare - All Saints Inc |
391264986 | 3 | No | 0 | 0 | |
| (GF)
Wheaton Franciscan Healthcare - Franklin Inc |
562592868 | 3 | No | 0 | 0 | |
| (GG)
Wheaton Franciscan Healthcare - Pharmacy Enterprises & Franciscan Woods Inc |
391613624 | 9 | No | 0 | 0 | |
| (GH)
Wheaton Franciscan Healthcare - St Francis Inc |
390907740 | 3 | No | 0 | 0 | |
| (GI)
Wheaton Franciscan Healthcare - Terrace at St Francis Inc |
391486775 | 9 | No | 0 | 0 | |
| (GJ)
Wheaton Franciscan Laboratories Inc |
391701402 | 9 | No | 0 | 0 | |
| (GK)
Wheaton Franciscan Medical Group Inc |
391791586 | 3 | No | 0 | 0 | |
| (GL)
Wheaton Franciscan Inc |
390816857 | 3 | No | 0 | 0 | |
| (GM)
ASCENSION ARIZONA (FKA CARONDELET HEALTH NETWORK) |
860455920 | 3 | No | 0 | 0 | |
| (GN)
HOLY CROSS HOSPITAL INC |
860575938 | 3 | No | 0 | 0 | |
| (GO)
CHALON LIVING INC |
860805615 | 7 | No | 0 | 0 | |
| (GP)
COLUMBIA COLLEGE OF NURSING |
391596986 | 2 | No | 0 | 0 | |
| (GQ)
ST VINCENT'S COLLEGE |
061331677 | 2 | No | 0 | 0 | |
| Total 199 | 0 | 0 | ||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose...... | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 6 | Total. Add lines 1 through 5. | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Schedule A, Part I, Line 11g AMOUNT OF SUPPORT / OTHER SUPPORT | ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITIES SELF-INSURANCE TRUST PROVIDES SUPPORT THROUGH THE PAYMENT OF CLAIMS ARISING AGAINST LIABILITY COVERAGE FOR MEMBER CATHOLIC HEALTH CARE ORGANIZATIONS OF THE ASCENSION SPONSOR, THE CANONICAL SPONSOR WHICH WAS FORMED BY THE FOUNDING SPONSORS AND WHICH HAS BEEN CONFERRED PUBLIC JURIDIC PERSONALITY BY DECREE OF THE CONGREGATION FOR INSTITUTES OF CONSECRATED LIFE AND SOCIETIES OF APOSTOLIC LIFE OF THE ROMAN CATHOLIC CHURCH. |
| Schedule A, Part IV, Section B, Line 1 POWER TO APPOINT DIRECTORS | The Ascension Sponsor (the Canonical sponsor which was formed by the founding religious sponsors and which has been conferred public juridic personality by decree of The Congregation for Institutes of Consecrated Life and Societies of Apostolic Life of the Roman Catholic Church) determines the philosophy, mission, vision, values and expectations of the System, and appoints the board for Ascension Health Alliance, delegating that appointment power within the System, with the Ascension Sponsor retaining ultimate control over governance matters. The organization carries out the purposes of the Ascension Sponsor by supporting the Ascension Sponsor, Ascension Health Alliance, and Ascension Health Ministry entities that provide care and healing in their respective communities. |
| Schedule A, Part IV, Section B, Line 2 CONTROL BY SUPPORTED ORGANIZATIONS | The Ascension Sponsor (the Canonical sponsor which was formed by the founding religious sponsors and which has been conferred public juridic personality by decree of The Congregation for Institutes of Consecrated Life and Societies of Apostolic Life of the Roman Catholic Church) determines the philosophy, mission, vision, values and expectations of the System, and, as applied within a framework of delegation, retains ultimate control of governance within the System. The trust carries out the purposes of the Ascension Sponsor by supporting Ascension Sponsor, Ascension Health Alliance, and the Ascension Health Ministry entities that provide care and healing in their respective communities. In answering "no" to Part IV, Section B, Line 2, the organization is considering the Ascension Sponsor's direct control as well as its ultimate control over the other supported organizations throughout the System. |
| Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name | THE TRUST IS ORGANIZED AND AT ALL TIMES SHALL BE OPERATED EXCLUSIVELY FOR THE BENEFIT OF, TO PERFORM THE FUNCTIONS OF, AND TO CARRY OUT THE PURPOSES OF THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL IN THE UNITED STATES, ST. LOUISE PROVINCE, THE CONGREGATION OF ST. JOSEPH, THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET, THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE - AMERICAN PROVINCE, AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE BY AND THROUGH ASCENSION HEALTH MINISTRIES (ASCENSION SPONSOR), AND, PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, THE AFFILIATED ORGANIZATIONS PROVIDED THAT SUCH ORGANIZATIONS ARE DESCRIBED UNDER SECTION 501(C)(3) OF THE CODE AND ARE CLASSIFIED AS PUBLIC CHARITIES UNDER SECTIONS 509(A)(1) AND 509(A)(2) OF THE CODE. SUCH SUPPORTED ORGANIZATIONS ARE LISTED AT PART I. THE ORGANIZATION ALSO SUPPORTS ASCENSION SPONSOR, THE CANONICAL SPONSOR WHICH WAS FORMED BY THE FOUNDING SPONSORS AND WHICH HAS BEEN CONFERRED PUBLIC JURIDIC PERSONALITY BY DECREE OF THE CONGREGATION FOR INSTITUTES OF CONSECRATED LIFE AND SOCIETIES OF APOSTOLIC LIFE OF THE ROMAN CATHOLIC CHURCH. |
| Schedule A, Part IV, Section A, Line 2 Supported Org. Without IRS Status 509(a)1 or (2) | SUPPORTED ORGANIZATIONS NOT REQUIRED TO OBTAIN A SEPARATE IRS DETERMINATION OF STATUS ARE EITHER CONSIDERED AN INSTRUMENTALITY OF THE CATHOLIC CHURCH OR ARE INCLUDED IN THE OFFICIAL CATHOLIC DIRECTORY AND HAVE BEEN VERIFIED TO BE DESCRIBED IN EITHER 509(a)(1) or 509(a)(2) ACCORDING TO THEIR MOST RECENT FORM 990 FILING. |
| Schedule A, Part IV, Section A, Line 5a Added, Substituted, or Removed Sup. Org. | (i)/(ii) The organization added and removed supported organizations, as follows: St. Mary's Medical Center, FEIN 43-1284526, merged out of existence; Carondelet Home Care Services, Inc., FEIN 43-1379352, merged out of existence; St. Joseph Medical Center, FEIN 44-0546292, merged out of existence; Carondelet Heart & Vascular Institute, FEIN 56-1943271, winding down in connection with sale; Holy Cross Hospital, Inc., FEIN 86-0575938, sold; Chalon Living, Inc., FEIN 86-0805615, sold; Mercy Regional Home Medical Services, LLC, FEIN 43-2024491, not applicable; Mercy Community Health Foundation, Inc., FEIN 48-1152279, not applicable; The TriMedx Foundation, FEIN 20-1643383, change in relationship due to sale; Crittenton Hospital Medical Center, FEIN 38-1359247, joined system; Crittenton Cancer Center, FEIN 38-3239057, joined system; Wheaton Franciscan, Inc., FEIN 39-0816857, joined system; Wheaton Franciscan Healthcare - St. Francis, Inc., FEIN 39-0907740, joined system; Flambeau Hospital, FEIN 39-0973724, joined system; Wheaton Franciscan Healthcare - All Saints, Inc., FEIN 39-1264986, joined system; Wheaton Franciscan Healthcare - Terrace at St. Francis, Inc., FEIN 39-1486775, joined system; Wheaton Franciscan Healthcare - Pharmacy Enterprises & Franciscan Woods, Inc., FEIN 39-1613624, joined system; Wheaton Franciscan Laboratories, Inc., FEIN 39-1701402, joined system; Wheaton Franciscan Medical Group, Inc., FEIN 39-1791586, joined the system; SAINT THOMAS REGIONAL HOSPITALS, FEIN 47-4063046, joined the system; Wheaton Franciscan Healthcare - Franklin, Inc., FEIN 56-2592868, joined the system; ALEXIAN BROTHERS MEDICAL GROUP SPECIALITY CARE, FEIN 81-1110738, joined the system; Our Lady of Peace, Inc., FEIN 16-1608735, qualified previously; ST. JOSEPH HEALTH SYSTEM, FEIN 38-1443395, qualified previously; Nazareth Hall, FEIN 74-2387843, qualified previously. (iii)/(iv) The organizing/governing documents of the organization provide that the organization is organized and at all times shall be operated exclusively for the benefit of, to perform the functions of, and to carry out the purposes of the Ascension and Founding religious Sponsors, in support of those organizations and affiliated organizations classified as public charities under Sections 509(a)(1) or 509(a)(2) of the Code. That direction provides the authority for the changes described above, which were accomplished according to the form of transaction that either added the organization to the Ascension system or caused its removal or any changes that affect an entity's reporting status for this purpose. |
| Software ID: | 15000238 |
| Software Version: | 2015v3.0 |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| Form 990, Part VI, Line 12a OFFICERS, TRUSTEES OR KEY EMPLOYEES | ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE TRUST DOES NOT HAVE OFFICERS, DIRECTORS, TRUSTEES OR KEY EMPLOYEES; THEREFORE, THESE QUESTIONS ARE MORE APPROPRIATELY ANSWERED NOT APPLICABLE. |
| Form 990, Part VI, Line 15 CEO & TOP MANAGMENT | ASCENSION HEALTH ALLIANCE PROFESSIONAL & GENERAL LIABILITY SELF-INSURANCE TRUST DOES NOT HAVE A CEO, EXECUTIVE DIRECTOR, TOP MANAGEMENT OFFICIAL, OR ANY OTHER OFFICERS OR KEY EMPLOYEES; THEREFORE, THESE QUESTIONS ARE MORE APPROPRIATELY ANSWERED NOT APPLICABLE. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | Ascension Health Alliance is the plan sponsor of Ascension Health Alliance Professional & General Liability Self-Insurance Trust, and as plan sponsor reserved the right to amend the Trust. The reserved right to amend the Trust includes the ability to appoint a new trustee. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | Ascension Health Alliance is the plan sponsor of the Ascension Health Alliance Professional & General Liability Self-Insurance Trust. As plan sponsor, Ascension Health Alliance holds certain rights as provided in the trust agreement. |
| Form 990, Part VI, Line 8a Documentation of meetings held by governing body | Ascension Health Alliance Professional & General Liability Self-Insurance Trust did not hold meetings of the governing body during the year. All decisions of the organization were made by the plan sponsor, Ascension Health Alliance. |
| Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body | There are no committees with authority to act on behalf of the governing body. This question is more appropriately answered as not applicable. |
| Form 990, Part VI, Line 9 Interested person not at organization's address | State Street Bank and Trust Company #1 Lincoln Center Boston, MA 02111 |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | Ascension Health Alliance Management works diligently to complete the Form 990 and attached schedules in a thorough manner. Prior to filing the return, the Plan Sponsor is provided the Form 990 to review. |
| Form 990, Part VI, Line 19 Required documents available to the public | The organization will provide any documents open to public inspection upon request. |
| Form 990, Part VII, Section A Line 9 | State Street Bank and Trust Company - #1 Lincoln Center, Boston, MA 02111 |
| Software ID: | 15000238 |
| Software Version: | 2015v3.0 |